PMT18-04184 City of Menifee Permit No.: PMT18-04184
t 29714 HAUN RD. Type: Residential Electrical
MENIFEE, CA 92586
MENIFEE MENIFEE Date Issued: 08/24/2018
PERMIT
Site Address: 33303 S 1215, MENIFEE, CA 92584 Parcel Number: 3B4180024
Construction Cost: $300.00
Existing Use: Proposed Use:
Description of INSPECTION FOR METER RELEASE-FIRE DAMAGED STRUCTURE ON PROPERTY
Work: SCE METER#322010-071979/200A
Owner Contractor
MORIEL REAL ESTATE-GABRIEL MORIEL BEAU DANIEL LUND
SAN JUAN CAPO,CA 92675 P O BOX 7304
REDLANDS, CA 92375
Applicant Phone:9518138418
BEAU DANIEL LUND License Number:903062
P 0 BOX 7304
REDLANDS, CA 92375 !
Phone:9518138418
Fee Description Qtv Amount!$1
Services, Switchboards,Control Centers&Panels 1 116.00
Building Permit Issuance 1 27.00
GREEN FEE 1 1.00
General Plan Maintenance Fee-Electrical 1 5.80
$149.80
The issuance of this permit shall not prevent the building official from thereafter requiring the correction of errors in the plans and
specifications or from preventing builiding operations being carried on thereunder when in violation of the Building Code or of any other
ordinance of City of Menifee.Except as otherwise stated,a permit for construction under which no work is commenced within six
months after issuance,or where the work commenced is suspended or abandoned for six months,shall expire,and fees paid shall be
forfeited.
AA_Bldg_Permit Template.rpt Page 1 of 1
CITY OF MENIFEE
LICENSED DECLARATION property who builds or improves thereon,and who contracts for the projects
I hereby affirm under penalty of perjurythat I am under provisions of with a licensed contractor(s)pursuant to the Contractors State License Law).
Chapter9(commencing with section 7000)of Division 3 of the Business and ❑I am exempt from licensure under the Contractor's State License Law for
Professions Code and my license is in full force and effect. the following reason:
License Class C- ko License No.�� J?/0 C.Z By my signature below I acknowledge that,except for my personal residence
Expires 01h%/Z%1n Signature �/rE/ in which I must have resided for at least one year prior to completion of
improvements covered by this permit.I cannot legally sell a structure that I
WORKER'S COMPENSATION DECLARATION have built as an owner-builder if it has not been constructed in its entirety by
❑I hereby affirm under penalty of perjury one of the following declarations:I licensed contractors.I understand that a copy of the applicable law,Section
have and will maintain a certificate of consent of self-insure for workers 7044 of the Business and Professions Code,is available upon request when
compensation,issued by the Director of Industrial Relations as provided for this application is submitted or at the following website:
by Section 3700 of the Labor Code,for the performance of work for which www.IeRJnfo.ca.Rov/caIaw.htmI.permit is issued.
Policy it Date
❑I have and will maintain workers compensation Insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT
section 3700 of the Labor Code,for the performance of the work for which ❑By my signature below I certify to each of the following:I am the property
this permit is issued.My workers compensation insurance carrier and policy owner or authorized to act on the property owners behalf.I have read this
number are: application and the Information I have provided Is correct.I agree to comply
with all applicable city and county ordinances and state laws relating to
Carrier building construction.I authorize representatives of this city or county to
Policy Jt Expires enter the above identified property for inspection purposes.
(This section need not to be completed is the permit is for one-hundred Date
dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT
❑I certify that in the performance of the work for which this permit is issued,
I shall not enrol ov any persons in any manner so as to become subject to the ,I CITY BUSINESS LICENSE q
workers compensation laws of California,and agree that if I should become AZARDOUS MATERIAL DECLARATION
subject to the workers compensation provisions of Section 3700 of the Labor 1
Code,I shall forthwith co Iy wi those i - ns. Will the applicant orfuture building occupant handle hazardous material or a
y- mixture containing a hazardous material equal to or greater that the
Applican Date ,` amounts,specified on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECUREWORKER'S COMPENSATION COVERAGE IS ❑Yes LKP10
UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the building by the applicant or future building
AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000),IN occupant require a permit for the construction or modification from South
ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Quality Management District(SCAQMD)7 See permitting checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidelin s
CONSTRUCTION LENDING AGENCY ❑Yes 'U0
I hereby affirm that under the penalty of perjury there is a construction Will the proposed building or modified facility be within 1000 feet of the
lending agency for the performance of the work which this permit is issued outer bodary of a school?
(Section 3097 Civil Code) ❑Yes No
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD
I hereby affirm under penalty of perjury that I am exempt from the (permitting checklist.I understand my requirements under the State of
Contractors License Law for the reason(s)indicated below by the allfornia Health&Safety Cade,Section 25505 and 25534 concerning
ardous material repo 'ng.
checkmark(s)I have placed nextto the applicable item(s)(Section 7031.5
Business and Professions Code).Any city or county that requires a permit to as 0 Date Z.
construct,alter,improve,demolish or repair any structure,prior to its
issuance,also requires the applicant for the permit to file a signed statement PROP O OR AUTHORIZED AGENT
that he or she is licensed pursuant to the provisions of the Contractors State EPA RENOVATION,REPAIR AND PAINTING(RRP)
License Law(Chapter 9(commencing with Section 7000)of Division 3 of the The EPA Renovation,Repair and Painting(RRP)Rule requires contractors
Business and Professions Code)or that he or she is exempt from licensure receiving compensation for most work that disturbs paint in a pre-1978
and the basis for the alleged exemption.Any violation of Section 7031.5 by residence or childcare facility to be RRP-certified firms and comply with
an Applicant for a permit subjects the applicant to a civil penalty of not more required practices.This includes rental property owners and property
than($500). managers who do the paint-disturbing work themselves or through their
❑I,as owner of the property,or my employee with wages as theifs employees.For more information about EPA's Renovation Program visit:
compensation,will do( )all of or( )portion of the work,and t ctG�@js_ www.epa.gov/lead or contact the National Lead Information Center at
not intended or offered for sale.(Section 7044,Business and Profes�Qf� �✓/@n7 1-800-424LEAD(5323).
Code;The Contractors State License Law does not apply to ar� ner of a9&t 76 An EPA Lead-Safe Certified Renovator will be responsible for this project
property who,through employees'or personal effo builds 0%rq'es the Af
property provided that the improvements are not' t ed or offer6d t6r Certified Firm Name:
sale.If,however,the building or improvement is I ,vw/��rn one year of<2Q,D Firm Certification No.:
completion,the Owner-Builder will have the burden `Aat it was O
not built or improved for the purpose of sale. , ❑No EPA Lead-Safe Certified Firm is required for this project because:
❑I,as owner of the property am exclusively contracting with license
ky
contractors to construct the project(Section 7044,Business and Profess,,4
Code:The Contractors State License Law does not apply to an owner of a If your project does not comply with EPA RRP rule please fill out the RRP
Acknowledgement.
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION MENIFEE
DATE: ZU� PERMIT/PLAN CHECK NUMBER VIM I
GRADING/PLANNING CASE NUMBER/OTHER RELATED CASES
TYPE: O COMMERCIAL V'RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN
SUBTYPE: O ADDITION O ALTERATION O DEMOLITION C&ILECTRICAL O MECHANICAL
O NEW O PLUMBING O RE-ROOF NUMBER OF SQUARES
DESCRIPTION OF WORK O v I
NJ— rnotl A f6U
OCCUPANCY GROUP CONSTRUCTION TYPE SPRINKLERS <%YES O NO
2
9
PROJECT ADDRESS :r 3 VS �-}y j Z16 rt�' >Q , ZIP
ASSESSOR'S PARCEL NUMBER LOT TRACT -
OWNER NAME 0
ADDRESS/ o `
PHONE wwo % -j 60S'9 EMAILtMIMM bkos,
APPLICANT NAME
ADDRESS PO. FOD< O U C.1
PHONE(61Oa) ZCeZ ^3053 EMAIL od g Ca
c 9
CONTRACTOR'S NAME (�U OWNER BUILDER? O YES �_NO
BUSINESS NAME I r N C_
ADDRESS `P o o" A Z City of Menifee
PHONE $4Vz� EMAIL 13DL
CONTRACTOR'S STATE LIC NUMBERgD3ib So'Z LICENSE CLASSIFICATION
VALUATION$ SO FT L SO FT RecPhinci
APPLICANT'S SIGNATURE��9 DATE Z
CITY STAFF USE ONLY or
DEPARTMENT DISTRIBUTION ACCEPTED BY: CITYOF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGI EERING FIRE
INVOICETOTAL149 t GREEN I I SMIP
OWNER BUILDER VERIFIED YES =- NO DRIVERS LICENSE# NOTARIZED LETTER OYES O NO
City of Menifee Building& Safety Department 129714 Haun Rd., Menifee, CA 92586 (951)672-6777
www.cityofinenifee.us
ENIFE
FI_FCTRI� ._ CON TpRS INC
BDL Electrical Contractors authorizes Gary Dake to pull the necessary electrical permits for the project
located:
33303 US Hwy 215
Menifee, CA.
*Electrical meter#SCE 322010-071979
Please contact me if there are any questions.
Thank you,
Beau Lund, owner
951-813-8418
Beau@BDLelect.com
S1
�i
rr�
City of Menifee
Building Dept,
AUG 24 2018
Received